DR. JARED B GILL (NPI# 1043441363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043441363 |
| Entity Type | Individual |
| Full Name | DR. JARED B GILL |
| Credential | DMD |
| Practice Address |
3000 Pancheri Dr Suite 1 Idaho Falls ID 83402-5095 |
| Practice Telephone | 2088813368 |
| Mailing Telephone | 2088813368 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D-3818 OR | ID | Dental Providers |
| Street Address |
3000 PANCHERI DR SUITE 1 |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83402-5095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
| 1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
| 1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
| 1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| Find all providers in zip 83402 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1194169649 | Jordan Rodney Hillam | Dentist | 758 E 65th S, Idaho Falls, ID 83404-7696 | 2013-04-25 |
| 1598053712 | Bret E. Mooso D.d.s.,m.s. | Dentist | 1580 Elk Creek Drive, Idaho Falls, ID 83404-6269 | 2011-07-21 |
| 1225289390 | Rodney H. Hillam | Dentist | 3325 S. Holmes Ave., Idaho Falls, ID 83404 | 2008-10-07 |
| 1306973862 | Rodney H Hillam Dds Ms Pa | Dentist | 3325 S Holmes Ave, Idaho Falls, ID 83404-7981 | 2007-02-28 |
| 1902949969 | Phillip David Lowder | Dentist | 250 South Skyine Drive, Ste 4, Idaho Falls, ID 83402 | 2007-02-15 |
| 1053496083 | Dwight Douglas Baker | Dentist | 1900 John Adams Pkwy, Idaho Falls, ID 83401-4366 | 2006-10-26 |
| 1902902208 | Brett Eddis Mooso | Dentist | 1410 E 17th St, Idaho Falls, ID 83404-6269 | 2006-09-15 |
| 1740215870 | Elison Orthodontics Pllc | Dentist | 3357 Merlin Dr, Idaho Falls, ID 83404-7405 | 2006-07-11 |
| 1437684099 | Hillam Orthodontics Pa | Dentist | 3325 S. Holmes Ave., Idaho Falls, ID 83404 | 2017-04-20 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83402 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.